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I work in clinical research for children with autism. It’s so weird to me that obstetricians would EVER object to working with a midwife, or with a doula, or (ideally IMO) both. Like - autistic people should ideally have a care team. Psychiatrists don’t get to tell therapists that medication is the ONLY answer to self-harming behaviors or suicidal ideation. Both can play a role depending on the patient’s needs. The providers have different skill sets and different areas of expertise, different scopes of practice. This is the case for many other conditions. Yet OBs behave as if their scope of practice is so broad it eclipses the need for other forms of practice - at least, that’s been both my experience and that of friends and family who have recently had children.

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